{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,14]],"date-time":"2026-10-14T16:40:21Z","timestamp":1791996021488,"version":"4.4.0"},"reference-count":54,"publisher":"JMIR Publications Inc.","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["JMIR Cancer"],"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec sec-type=\"background\">\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Artificial intelligence (AI) is increasingly used to generate medical content, yet its performance in delivering clinically relevant and reliable information remains underexplored, especially in complex areas such as breast cancer.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec sec-type=\"objective\">\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>This study aimed to compare ChatGPT-4.0 and DeepSeek-V3 in generating breast cancer information, focusing on readability, content quality, and citation reliability.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec sec-type=\"methods\">\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>\n                      On the basis of publicly available patient education materials, 10 frequently asked questions were selected. Each model generated 60 responses. Three expert reviewers rated each response using a 7-point Likert scale across 5 dimensions (ie, accuracy, completeness, clarity, depth and insight, and alignment with expert answers). Readability was assessed using Flesch-Kincaid Grade Level scores. Information reliability was evaluated through interrater agreement metrics, including Cohen \u03ba and Fleiss \u03ba. Paired\n                      <jats:italic>t<\/jats:italic>\n                      tests were used for statistical comparisons.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec sec-type=\"results\">\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      AI models produced significantly more readable content than expert references (mean Flesch-Kincaid Grade Level difference \u22122.60;\n                      <jats:italic>P<\/jats:italic>\n                      &lt;.001). ChatGPT-4.0 responses were more stylistically consistent with a median Flesch-Kincaid Grade Level score of 10.66 (IQR 0.98), whereas DeepSeek-V3 showed greater variability with a median Flesch-Kincaid Grade Level score of 10.17 (IQR 1.41). Content quality scores were DeepSeek-V3 achieving a higher mean score than ChatGPT-4.0 (6.22 [SD 0.43] vs 6.01 [SD 0.49]). In the multiresponse analysis, DeepSeek-V3 demonstrated a statistically significant advantage in accuracy (\n                      <jats:italic>P<\/jats:italic>\n                      =.041), while differences across other criteria were not statistically significant (\n                      <jats:italic>P<\/jats:italic>\n                      &gt;.05). Human raters showed almost perfect agreement when judging source reliability (Fleiss \u03ba=0.842 for ChatGPT\u2019s citations and 0.935 for DeepSeek\u2019s citations). Agreement between each model\u2019s citation reliability scores and the expert majority was substantial for ChatGPT (Cohen \u03ba=0.665) and higher for DeepSeek (Cohen \u03ba=0.782).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec sec-type=\"conclusions\">\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Both models generated readable and clinically relevant content with comparable overall performance. ChatGPT provided more consistent readability, while DeepSeek offered more diverse references with stronger alignment to expert ratings. Continued evaluation and quality assurance are essential for the responsible clinical use of AI-generated content.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.2196\/72839","type":"journal-article","created":{"date-parts":[[2025,11,19]],"date-time":"2025-11-19T22:05:08Z","timestamp":1763589908000},"page":"e72839-e72839","source":"Crossref","is-referenced-by-count":4,"title":["ChatGPT Versus DeepSeek for Breast Cancer Information Retrieval: Quantitative Comparative Study"],"prefix":"10.2196","volume":"12","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-7090-5425","authenticated-orcid":false,"given":"Rima","family":"Hajjo","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1428-5097","authenticated-orcid":false,"given":"Dima A","family":"Sabbah","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4823-0708","authenticated-orcid":false,"given":"Sanaa K","family":"Bardaweel","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1010","published-online":{"date-parts":[[2026,2,27]]},"reference":[{"issue":"3","key":"R1","doi-asserted-by":"publisher","first-page":"209","DOI":"10.3322\/caac.21660","article-title":"Global cancer statistics 2020: GLOBOCAN estimates of incidence and mortality worldwide for 36 cancers in 185 countries","volume":"71","author":"Sung","journal-title":"CA Cancer J Clin"},{"issue":"1","key":"R2","doi-asserted-by":"publisher","first-page":"170","DOI":"10.1007\/s42979-023-02534-1","article-title":"Challenges to the early diagnosis of breast cancer: current scenario and the challenges ahead","volume":"5","author":"Sinha","journal-title":"SN COMPUT SCI"},{"key":"R3","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijpharm.2023.123392","article-title":"Identifying synergistic combinations of doxorubicin-loaded polyquercetin nanoparticles and natural products: implications for breast cancer therapy","volume":"645","author":"Sunoqrot","journal-title":"Int J Pharm"},{"issue":"32","key":"R4","doi-asserted-by":"publisher","DOI":"10.1002\/slct.202202263","article-title":"Novel derivatives of 4,6\u2010dihydroxy\u20102\u2010quinolone\u20103\u2010carboxamides as potential PI3K\u03b1 inhibitors","volume":"7","author":"Sweidan","journal-title":"ChemistrySelect"},{"key":"R5","unstructured":"Global Breast Cancer Initiative Implementation Framework: Assessing, Strengthening and Scaling-up of Services for the Early Detection and Management of Breast Cancer. 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